Organization Active NPI

A M Vedha, MD PC

  • Primary Care Clinic/Center
  • Norton, VA
National Provider Identifier
1689818478
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101023719 Issued in VA
Legal business name
A M VEDHA, MD PC
Practice address
1761 Park Ave., Southwest
Norton, VA 24273-1626
Phone
(276) 325-0461
Fax
(276) 325-0469
NPI assigned
Apr 24, 2009
Last updated
Apr 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Arunachalam M. Vedhanayakam, M.D.NPI 1134134539
Title
President
Phone
(276) 325-0461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101023719 VA Primary

Addresses

Primary practice location

1761 Park Ave., Southwest
Norton, VA 24273-1626

Mailing address

1761 Park Ave., Southwest
Norton, VA 24273-1626
Phone (276) 325-0461

Other identifiers 2

IdentifierTypeStateIssuer
006744435MedicaidVA
064175OtherVAANTHEM BLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

96 15th St NW
Ste 106
Norton, VA 24273
Phone (276) 679-1848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1689818478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 PARK AVE., SOUTHWEST",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731626",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 PARK AVE., SOUTHWEST",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731626",
            "telephone_number": "276-325-0461",
            "fax_number": "276-325-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A M VEDHA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "VEDHANAYAKAM",
        "authorized_official_first_name": "ARUNACHALAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-325-0461",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101023719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006744435",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "064175",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.